Valley Equestrian Club Kempsey

Member Registration

Member Details

Residential Address

Other information

PIC Number: *
HORSES HEALTH DECLARATION Section will appear on ALL EVENT Waivers. This MUST be completed at the time of Entering. You will need to put Name of Event & Date of the LAST Event your Horse Attended within the previous 3 months.
I will complete a horse health declaration for evey event I attend *
What Kind of Equine Event are you interested in? *





If other, please specify
Club Event Photography
I give permission for the use of photographs containing any of the members listed for us on Valley Equestrian Club Facebook Page and website www.valleyequestrian.net *

Email address is already assigned to a member,
please use an alternative email address.

You appear to be an existing member.
Do you want to renew your membership?

Aged pension membership is for members over 65 years.
Please choose another membership type or correct your date of birth.